T. Held et al., HEART-RATE, BLOOD LACTATE LEVEL AND PERCE IVED EXERTION DURING SUBMAXIMAL RUNNING - NEW NOMOGRAMS FOR THE ESTIMATION OF ENDURANCE CAPACITY, Schweizerische medizinische Wochenschrift, 127(23), 1997, pp. 978-987
Considering the protective effect of physical activity against coronar
y heart disease, the estimation of endurance capacity is not only reco
mmended for sportsmen but is also useful for exercise counselling of u
nfit persons. Endurance capacity can be estimated with test protocols
leading to complete exhaustion, or by submaximal test procedures. Subm
aximal tests have the advantage of putting less stress on subjects tha
n maximal test protocols; on the other hand, they are less accurate. A
s a complement to traditional submaximal test protocols based on heart
rate analysis, a new subinaximal protocol is proposed based on measur
ements of capillary blood lactate concentration during exercise. Incre
mental tests of 319 men with wide variation of endurance capacity were
used to calculate nomograms of the typical pattern of exercise-induce
d increase in capillary blood lactate concentration, heart rate, and r
ating of perceived exertion in relation to endurance capacity. The run
ning velocity eliciting a capillary blood concentration of 4 mmol/l la
ctate was selected as the parameter for endurance capacity. With the h
elp of these nomograms, the 4 mmol/l-velocity could be estimated with
submaximal values of lactate, heart rate or rating of perceived exerti
on. The appropriateness of the nomograms was checked against the data
of 100 independent maximal treadmill tests. Estimation of 4 mmol/l-vel
ocity with submaximal lactate values showed good precision (with a sma
ll standard deviation of +/-0.17 m/s); in contrast, the estimation of
endurance capacity with submaximal values for heart rate and rating of
perceived exertion showed substantially larger standard deviations (a
pproximately +/-0.56 m/s). We conclude that, for estimation of enduran
ce capacity from submaximal running values, the nomogram for blood lac
tate concentrations can be recommended.